Kory Botelho, O.D.
Optometrist in Tukwila, WA. Individual provider (NPI-1).
NPI number1407302003
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1407302003
- Entity type
- Individual (NPI-1)
- Name
- Kory Botelho
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2016
- Certification date
- Jan 5, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 60660393 | WA | Yes |
Practice location
411 Strander Blvd Ste 202Tukwila, WA 98188-2959
Phone 206-575-4396 · Fax 206-575-4396
Mailing address
411 Strander Blvd Ste 202Tukwila, WA 98188-2959
Phone 206-575-4396
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All 26 Optometrist providers in Tukwila · All 1,891 providers in Tukwila
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